Active NPIIndividual provider

Marc T Campos, PA-C

Physician Assistant, Medical in Marion, Indiana

NPI Number1336589241
Practice location
1103 N Baldwin Avenue, Marion, IN 46952-2536
Fax
765-382-4495
Last updated
July 1, 2019

Marc T Campos is a Physician Assistant, Medical based in Marion, IN. Marc T Campos practices in Marion, IN and has the professional credentials of PA-C. The NPI Number for Marc T Campos is 1336589241 and holds a License No. 4367 (CT). The current practice location address for Marc T Campos is 1103 N Baldwin Avenue, Marion, IN 46952-2536 and can be reached out via phone at 765-660-7480 and via fax at 765-382-4495.

Provider Profile Details

NPI Number
1336589241
Provider Name
Marc T Campos
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1103 N Baldwin Avenue, Marion, IN 46952-2536
Phone Number
765-660-7480
Fax Number
765-382-4495
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2013
Last Update Date
July 1, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1103 N Baldwin Avenue
Marion, IN 46952-2536
City
Marion
State
Indiana
Zip
46952-2536
Phone Number
765-660-7480
Fax Number
765-382-4495
Marion, IN 46952Get directions →

Provider Business Mailing Address Details

Address
330 N Wabash
G20
Marion, IN 46952-2600
City
Marion
State
IN
Zip
46952-2600
Phone Number
765-660-7600
Fax Number
765-651-7313

License Information

License State (1)
IN
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
4367
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marc T Campos, PA-C?

The NPI number of Marc T Campos, PA-C is 1336589241. It was assigned on June 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Marc T Campos, PA-C?

Marc T Campos, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 4367.

Where does Marc T Campos, PA-C practice?

The practice location is 1103 N Baldwin Avenue, Marion, IN 46952-2536. The office can be reached at 765-660-7480 (phone) or 765-382-4495 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336589241 directly on the NPPES registry website.

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